Provider Demographics
NPI:1780480087
Name:ABCDEE INC.
Entity type:Organization
Organization Name:ABCDEE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADBOULY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-378-0340
Mailing Address - Street 1:408 77TH ST APT D4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3226
Mailing Address - Country:US
Mailing Address - Phone:917-378-0340
Mailing Address - Fax:
Practice Address - Street 1:408 77TH ST APT D4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3226
Practice Address - Country:US
Practice Address - Phone:917-378-0340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency